Abstract
An unusual case of cor triatriatum in a 52-year-old woman is described in which the preoperative diagnosis was obscured by the presence of mitral valvular regurgitation and massive left atrial enlargement; such massive left atrial enlargement has not been reported before in this entity. Only the right pulmonary veins drained into the accessory chamber. The abnormal septum dividing the left atrium was demonstrated by two-dimensional but not M-mode echocardiography.
Similar content being viewed by others
References
Abdulla HMA, Demany MA, Zimmerman HA (1970) Cor triatriatum: Preoperative diagnosis in an adult patient. Am J Cardiol 26:310–314
Ehrich DA, Vieweg WVR, Alpert JS, Folkert TL, Hagan AD (1977) Cor triatriatum: Report of case in a young adult with special reference to the echocardiographic features and etiology of the systolic murmur. Am Heart J 94:217–221
Saylam A, Ertugrul A, Sarikayalar F, Aytac A (1977) Cor triatriatum associated with large atrial septal defect and partial anomalous pulmonary venous return. J Cardiovasc Surg 18:465–468
McGuire LB, Nolan TB, Reeve R, Dammann JF Jr (1965) Cor triatriatum as a problem of adult heart disease. Circulation 31:263–272
Nudel DB, Kelley MJ, Hellenbrand WE, Barash P, Stansel HC Jr, Berman MA (1976) Cor triatriatum. Masked by complex congenital cardiac anomalies. J Thorac Cardiovasc Surg 72:644–651
Ahn C, Hosier DM, Sirak HD (1968) Cor triatriatum. A case report and review of other operative cases. J Thorac Cardiovasc Surg 56:177–183
Marin-Garcia J, Tandon R, Lucas RV Jr, Edwards JE (1975) Cor triatriatum: Study of 20 cases. Am J Cardiol 35:59–66
Niwayama G (1960) Cor triatriatum. Am Heart J 59:291–317
Binet JP, Losay J, Leriche H, Conso JF, Bruniaux J (1978) Cœur triatrial associé à une communication inter-ventriculaire chez le nourrisson. A propos de 2 cas traités chirurgicalement. Arch Mal Cœur 71:1070–1075
Miller GAH, Ongley PA, Anderson MW, Kincaid OW, Swan HJC (1964) Cor triatriatum. Hemodynamic and angiocardiographic diagnosis. Am Heart J 68:298–304
Hougen TJ, Mulder DG, Gyepes MT, Moss AJ (1974) Aneurysm of the left atrium. Am J Cardiol 33:557–561
Michaud P, Dalloz C, Age C, Termet H, Chassignolle J, Dureau G, du Grès B, Lagadau L (1970) A propos d'un nouveau cas de cœur triatrial de l'adulte, opéré avec succès. Arch Mal Cœur 63:291–300
Leavitt TW, Nixon JV (1979) Cor triatriatum with mitral regurgitation in a 52-year-old male. Cathet Cardiovasc Diagn 5:75–84
Canedo MI, Stefadouros MA, Frank MJ, Moore HV, Cundey DW (1977) Echocardiographic features of cor triatriatum. Am J Cardiol 40:615–619
Gibson DG, Honey M, Lennox SC (1974) Cor triatriatum. Diagnosis by echocardiography. Br Heart J 36:835–838
Moodie OS, Hagler DJ, Ritter DG (1976) Cor triatriatum. Echocardiographic findings. Mayo Clin Proc 51:289–295
Atsuchi Y, Nagai Y, Komatsu Y, Nakamura K, Hirosawa K (1977) Echocardiographic demonstration of anomalous septum in cor triatriatum. Jpn Heart J 18:266–270
Fermont L, Kachaner J, Batisse A, Lucet P, Neveux J-Y, Lemoine G (1977) Le cœur triatrial chez le nourrison. A propos de quatre cas dont deux opérés avec succès. Arch Fr Pediatr 34:825–843
Kelley MJ, Glanz S, Hellenbrand WE, Taunt KA, Berman MA (1977) Diagnosis of cor triatriatum by echocardiography. Radiology 123:159–160
Goh TH, Venables AW (1980) Scanning suprasternal echocardiography. Br Heart J 43:148–158
Snider AR, Roge CL, Schiller NB, Silverman NH (1980) Congenital left ventricular inflow obstruction evaluated by two-dimensional echocardiography. Circulation 61:848–855
Brickman RD, Wilson L, Zuberbuhler JR, Bahnson HT (1970) Cor triatriatum. Clinical presentation and operative treatment. J Thorac Cardiovasc Surg 60:523–530
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Porter, B.A., Bogren, H.G. & DeMaria, A.N. Cor triatriatum in an adult with mitral regurgitation and massive left atrial enlargement. Cardiovasc Intervent Radiol 6, 37–40 (1983). https://doi.org/10.1007/BF02552790
Issue Date:
DOI: https://doi.org/10.1007/BF02552790